Organization Active NPI

Montgomery Homecar, Inc

  • Nursing Care Agency
  • North Potomac, MD
National Provider Identifier
1174801104
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
MONTGOMERY HOMECAR, INC
Practice address
13801 Hidden Glen LN
North Potomac, MD 20878-3944
Phone
(301) 906-5557
NPI assigned
Jul 25, 2011
Last updated
Jul 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Ock-Kyu Park
Title
Director
Phone
(301) 906-5557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

13801 Hidden Glen LN
North Potomac, MD 20878-3944

Mailing address

13801 Hidden Glen LN
North Potomac, MD 20878-3944
Phone (301) 906-5557

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1174801104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 HIDDEN GLEN LN",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208783944",
            "telephone_number": "301-906-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 HIDDEN GLEN LN",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208783944",
            "telephone_number": "301-906-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY HOMECAR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "OCK-KYU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-906-5557",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.